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Chapter 3 returns to 1951, when Henrietta’s gynecologist, Jones, diagnoses cancer of the cervix. The diagnosis coincides with a medical debate involving Jones and his boss, Richard Wesley TeLinde, about treatments for cervical cancer, and the author provides us with some details regarding the development and treatment of this type of cancer in the 1950s. TeLinde contacts George Gey (pronounced Guy), head of tissue culture research at Hopkins, who, along with his wife, Margaret, has spent 30 years trying unsuccessfully to grow human cells outside the body for the purposes of cancer research. TeLinde offers to give him samples from patients with cervical cancer.
When Henrietta receives a call from Jones with the news she has been dreading, she reacts stoically, keeping it to herself and simply telling her husband that she has to return to Hopkins for some more tests. She signs a consent form, giving permission for “any operative procedures […] that they may deem necessary” (31), and is put under anesthetic for her first radium treatment. Without Henrietta’s knowledge, the surgeon cuts two small pieces of tissue—one from her tumor, and one from a healthy part of her cervix—and sends them to Gey’s laboratory.
Chapter 4, “The Birth of HeLa,” takes us to Gey’s laboratory, where 21-year-old Mary Kubicek works as an assistant. Mary receives Henrietta’s samples and labels them “HeLa,” after the first two letters of the patient’s first and last names. Having seen all the previous human samples die within a short space of time, Mary does not expect the cells to survive. However, while Henrietta recovers from her first radium treatment and goes home, Mary and the Geys are amazed to discover that her cells are not just surviving, but “growing with mythological intensity” (40). George Gey believes that this is the breakthrough he has been waiting for.
1951. Knowing nothing of the excitement that her cells are generating, Henrietta continues with her life. She is a beautiful, fun-loving woman, and a devoted mother whom almost everyone adored. Yet, even before illness struck, she had already experienced a tragedy; as her elder daughter, Elsie, grew older, and Henrietta had more babies to care for, Elsie’s disabilities became too much to cope with, and her mother reluctantly sent her to live at Crownsville State Hospital, formerly the Hospital for the Negro Insane.
Further traumas unravel as Henrietta undergoes radium treatment—she is devastated to discover that her treatment has caused infertility, and she also must deal with an unfaithful husband who has infected her with gonorrhea.
In 1999, Skloot comes across a collection of papers, “The HeLa Cancer Control Symposium,” and contacts the symposium’s organizer, Roland Pattillo. Only when he is sure of Skloot’s intentions does Pattillo agree to give Skloot the Lacks family’s contact details: “[Deborah] came near a stroke recently because of the agony she’s gone through regarding inquiries into her mother’s death and those cells” (51).
When Skloot first calls Henrietta’s daughter, Deborah is initially delighted that someone wants to acknowledge her mother as a person by writing a book about her. However, the second call is very different: Deborah is subdued and says she cannot talk, telling Skloot that she has to convince the male members of the family. She gives Skloot the phone numbers of her father and two of her brothers.
Back in 1951, as Henrietta continues with her radium treatment, George Gey is sending HeLa cells to scientists around the world for research. He appears on television to discuss his belief that the cure for cancer could soon be found but does not specifically mention HeLa, for the work of French surgeon Alexis Carrel over the previous few decades has turned the public against cell culture research. In 1912, Carrel claimed he had created an “immortal chicken heart” by growing chicken-heart tissue in culture. After his death, Carrel’s claims were discredited, but for some time, he was hailed as a medical hero. However, the media exaggerated the discovery, leading to a frenzy of excited claims that Carrel had found the secret to immortality. These exaggerations—combined with the fact that Carrel was a eugenicist who wanted to extend life for the “superior white race” only and later praised Hitler for his attempts to wipe out “inferior” races—had given cell culture research a bad name: “Cell culture had become less a medical miracle than something out of a scary science-fiction movie” (58).
Skloot provides us with some medical information regarding Henrietta’s illness and the ways cervical cancer was treated in the 1950s. Simultaneously, she introduces us to the ethical debates which pervade the book: Skloot informs us that it was the norm at this time for doctors to use patients from public wards for research without their knowledge or consent. The majority of these poverty-stricken patients were black people who were at the bottom of the social scale in a segregated society.
These chapters also introduce us to George and Margaret Gey and their assistant, Mary Kubicek, who take Henrietta’s sample for their research and thereby create HeLa. Throughout, Skloot’s depiction of events is balanced: the ethical issues are raised for debate, most notably the absence of the patient’s knowledge or consent and the fact that the majority of the patients involved were poor and often black. However, we are also shown the human side of the scientists: they are depicted as fully rounded individuals with both weaknesses and positive qualities.
Chapter 5, meanwhile, gives us further insight into Henrietta, who knew nothing about what was going on in Gey’s laboratory. Skloot’s warm, affectionate, and respectful portrait of Henrietta and her life contrasts sharply with the view of the scientists, who have de-humanized her, regarding her clinically as the origin of HeLa and forgetting that there is a real person behind the cells. Chapter 6 builds on this theme: in 1999, Skloot begins to uncover the terrible trauma experienced by the Lacks family because they feel that scientists have treated both their mother and the rest of the family disrespectfully. The following chapter provides an extreme and frightening example of an unethical approach to science which helps to explain why the Lacks family were not alone in their suspicion of scientists and doctors: Nobel Prize winner Alexis Carrel, who praised Hitler, researched organ transplantation and life extension for the benefit of the educated white race only.



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